Provider Demographics
NPI:1508634262
Name:SUNNY MEDICAL AND REHABILITATION CENTER, LLC.
Entity Type:Organization
Organization Name:SUNNY MEDICAL AND REHABILITATION CENTER, LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:JOHN KENSON
Authorized Official - Middle Name:
Authorized Official - Last Name:JEAN LOUIS
Authorized Official - Suffix:
Authorized Official - Credentials:APRN
Authorized Official - Phone:954-637-4833
Mailing Address - Street 1:4845 N DIXIE HWY
Mailing Address - Street 2:
Mailing Address - City:DEERFIELD BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33064-4861
Mailing Address - Country:US
Mailing Address - Phone:954-637-4833
Mailing Address - Fax:954-637-4876
Practice Address - Street 1:4845 N DIXIE HWY
Practice Address - Street 2:
Practice Address - City:DEERFIELD BEACH
Practice Address - State:FL
Practice Address - Zip Code:33064-4861
Practice Address - Country:US
Practice Address - Phone:954-637-4833
Practice Address - Fax:954-637-4876
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-12-12
Last Update Date:2023-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center